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Yoga empowers youth dealing with depression, anxiety and PTSD

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Yoga is gaining momentum as a therapeutic option for people with various physical and mental health issues and new research suggests its benefits extend to youth who have experienced trauma.

A research team, led by Sarah Cochrane, Nurse Practitioner at Foundry Vancouver-Granville, found young people with diagnoses of depression, anxiety and/or post-traumatic stress disorder (PTSD) saw positive results from participating in an 8-week trauma-sensitive yoga (TSY) program. The trauma-sensitive yoga (TSY) model was developed at the Trauma Center at Justice Resource Institute in Brooklyn, Massachusetts, as an adjunct treatment for complex trauma. Previous studies have pointed to its beneficial effect on adults, but little was known about its effect on youth.

Conventional mental health therapies tend to be more cognitively-oriented, but as Cochrane notes, not everyone wants to talk about their mental health, nor does everyone want to take medication.

“We know that trauma profoundly affects the body, and so it doesn’t make sense not to bring the body into treatment and healing,” she says.

Her team’s research showed that yoga helped participants reduce and manage anxiety, helped with chronic pain, increased mindful awareness, and helped with structure and routine in their life. Based on these encouraging results, Cochrane is now hoping to roll out trauma-sensitive yoga as an adjunct treatment option across Foundry’s network of youth wellness centres in BC.

Empowering people to make choices

Funded in the PHC Practice-Based Research Challenge and mentored by Dr. Skye Barbic, the study team recruited 14 youth with depression, anxiety and/or post-traumatic stress disorder (PTSD) for an eight-week yoga program in 2017. Classes took place at Foundry Vancouver-Granville and were led by a certified yoga instructor with additional training in trauma-informed yoga.

Some of the members of the research team: Sarah Cochrane, NP (team leader); Alexandria Palacol, RN; D. Faris (peer member); CHÉOS Scientist Dr. Skye Barbic (mentor); and Adelena Leon.

There are a number of ways to make yoga classes safer for trauma survivors. Class sizes are small, participants always face the exit, and the instructor doesn’t circulate the room and uses verbal cues rather than physical assists. The emphasis is not on the aesthetics of alignment, but rather safety, awareness and staying present in the body.

“Predictability is a big piece of trauma-informed yoga,” says Cochrane, who herself is a yoga instructor. With that in mind, the group is closed so participants know who will be in the space each session, and every class follows a similar sequence.

Participants are encouraged to listen to their bodies and not attempt anything that doesn’t feel right. The yoga movements also take the experience of trauma survivors into consideration. For example, a posture that’s more likely to be triggering for someone who has been sexually abused, such as certain hip-openers, are avoided, especially early in the program.

Rather than telling participants what to do, the instructor uses invitational language, introducing new movements with phrases such as “If you would like,” “I invite you to” and “As you are ready.”

“A lot of people who have experienced interpersonal trauma have had choice taken away from them and trauma-sensitive yoga is all about empowering people to make choices and feel like they have agency,” Cochrane says.

‘I’m more aware of my body’

Following the eight-week program, participants reported feeling more aware of themselves and others, they were better able to relax their bodies and minds, and many started using the breathing techniques learned in class to calm down when feeling anxious.
With a vision of implementing trauma-sensitive yoga across Foundry’s sites, Cochrane is hoping to partner with Yoga Outreach, an organization that supports adults and youth through trauma-informed yoga programing within community service facilities across the province.

“I think it’s important to offer young people options in their treatment, and this is another strengths-based approach to mental health that we can provide,” she says.

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